Jackson, Gemontasia Kiriaqua

Jackson, Gemontasia Kiriaqua is an sole proprietor health care provider with primary practice located at 2872 N 59Th St , Milwaukee WI 53210-1504. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Jackson, Gemontasia Kiriaqua can be contacted via phone (414) 939-5802.

Contact Information

Primary practice address
2872 N 59Th St Milwaukee WI 53210-1504
Phone: (414) 939-5802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1629841200
LBN Legal business name Jackson, Gemontasia Kiriaqua
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2023
Last updated Dec 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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